Miivrx LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

5301010544 Issued in MI

Legal business name

MIIVRX LLC

Practice address

49 E Isabella Rd
Midland, MI 48640-8356

Phone

(989) 631-3636

Fax

(989) 832-6091

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Roeder, RPH

Title

Ceo

Phone

(989) 631-3636

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• MiIVRx Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1932272523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E ISABELLA RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408356",
            "telephone_number": "989-631-3636",
            "fax_number": "989-832-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E ISABELLA RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408356",
            "telephone_number": "989-631-3636",
            "fax_number": "989-832-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIIVRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-631-3636",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332100000X",
            "taxonomy_group": "",
            "desc": "Department of Veterans Affairs (VA) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MI",
            "license": "5301010544",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145782",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MiIVRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MiIVRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midmichigan Visiting Nurse Association
• Midmichigan Visiting Nurse Association
• Midmichigan Visiting Nurse Association
• Midwest Rockets HH, LLC
• Jennifer Mielke, OD
• Douglas L Mikols, M.D.
• Laurie D Miles, MS, LLP
• Sophie J Miles, CCC-SLP
• Karen R Miljour, DO
• Mitchell Millar, DPT

• Home Infusion Therapy Pharmacy in Midland, MI
• Providers in Midland, MI by specialty
• Home Infusion Therapy Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.